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European Journal of Echocardiography Advance Access published online on May 13, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep059
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Pulmonary valve papillary fibroelastoma diagnosed by echocardiography: a case report

Stanko Biocic1, Silva Puksic1,*, Josip Vincelj1, Zeljko Durasevic1, Zeljko Sutlic2 and Spomenka Manojlovic3

1 Department of Cardiology, Clinical Hospital Dubrava, Av. Gojka Suska 6, 10 000 Zagreb, Croatia
2 Department of Cardiac Surgery, Clinical Hospital Dubrava, Av. Gojka Suska 6, 10 000 Zagreb, Croatia
3 Department of Pathology, Clinical Hospital Dubrava, Av. Gojka Suska 6, 10 000 Zagreb, Croatia

Received 10 February 2009; accepted after revision 21 April 2009.

* Corresponding author. Tel: +385 98 9365 148; fax: +385 1 2902 700. E-mail address: silva.puksic{at}vz.t-com.hr


  Abstract

Papillary fibroelastomas (PFEs) are rare cardiac valve tumours with reported incidence of <0.03% according to autopsy studies. Among them, pulmonary valve PFEs are extremely rare. With wider use of echocardiography, they are being increasingly recognized premortem. We describe a case of a 32-year-old Caucasian woman with PFE of pulmonic valve diagnosed by echocardiography. The patient underwent surgery due to high mobility of the tumour and high risk of embolic complications. The surgery was done with complete tumour resection and total preservation of valve function. This case report discusses diagnostics of PFEs, their characteristic echocardiographic and histological features, and possible complications and suggests treatment options in this rare cardiac tumour.

Keywords: Papillary fibroelastoma; Pulmonary valve; Echocardiography


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